TEST BANK FOR RUPPEL’S MANUAL OF PULMONARY FUNCTION TESTING 11TH EDITION BY
MOTTRAM LATEST VERSION GRADED A+
,CONTENTS
CHAPTER 1: INDICATIONS FOR PULMONARY FUNCTION TESTING ..................... 3
CHAPTER 2: SPIROMETRY ............................................................................... 15
CHAPTER 3: DIFFUSING CAPACITY TESTS ........................................................ 37
CHAPTER 4: LUNG VOLUMES, AIRWAY RESISTANCE, AND GAS DISTRIBUTION
TESTS ............................................................................................................. 54
CHAPTER 5: VENTILATION AND VENTILATORY CONTROL TESTS ...................... 70
CHAPTER 6: BLOOD GASES AND RELATED ....................................................... 85
TESTS ............................................................................................................. 85
CHAPTER 7: CARDIOPULMONARY EXERCISE TESTING ................................... 104
CHAPTER 8: PEDIATRIC PULMONARY FUNCTION TESTS ................................ 125
CHAPTER 9: BRONCHOPROVOCATION TESTING ............................................ 139
CHAPTER 10: SPECIALIZED TEST REGIMENS .................................................. 148
CHAPTER 11: PULMONARY FUNCTION TEST EQUIPMENT ............................. 160
CHAPTER 12: QUALITY SYSTEMS IN THE PULMONARY FUNCTION LABORATORY180
CHAPTER 13: REFERENCE VALUES AND INTERPRETATION STRATEGIES ......... 210
,CHAPTER 1: INDICATIONS FOR PULMONARY FUNCTION TESTING
MULTIPLE CHOICE
1. WHO FIRST POPULARIZED SPIROMETRY FOR THE EVALUATION OF PULMONARY FUNCTION?
a. AUGUST AND MARIE KROGH
b. ALVAN BARACH
c. JOHN SEVERINGHAUS
d. JOHN
HUTCHINSON ANS:
D
HUTCHINSON POPULARIZED THE CONCEPT OF USING VC TO ASSESS LUNG FUNCTION, AND
THE NAMES HE GAVE TO SEVERAL OTHER LUNG COMPARTMENTS ARE STILL USED TODAY.
DIF: 1 REF: P. 2 OBJ: NONE MSC: NBRC: NONE
2. WHICH OF THE FOLLOWING ARE INDICATIONS FOR PERFORMING SPIROMETRY?
1. ASSESS THE RISK OF LUNG RESECTION.
2. DETERMINE THE RESPONSE TO BRONCHODILATOR THERAPY.
3. ASSESS THE SEVERITY OF RESTRICTIVE LUNG DISEASE.
4. QUANTIFY THE EXTENT OF COPD.
A. 1 AND 4
B. 2 AND 3
C. 1 , 2, AND 4
D. 2 , 3, AND 4
ANS: C
SPIROMETRY CANNOT ASSESS SEVERITY OF RESTRICTION; FOR THAT YOU NEED TO MEASURE
LUNG VOLUMES ( SEE BOX 1-2, CHAPTER 1).
DIF: 1 REF: P. 7 OBJ: EL-2 MSC: NBRC: NONE
, 3. THE MAIN INDICATION FOR THE MEASUREMENT OF LUNG VOLUMES IS TO DO WHICH OF THE
FOLLOWING?
a. DIAGNOSE OR ASSESS THE SEVERITY OF RESTRICTION.
b. EVALUATE THE SEVERITY OF PULMONARY HYPERTENSION.
c. DETERMINE THE LEVEL OF CARDIOPULMONARY FITNESS.
d. ASSESS THE RISK OF ABDOMINAL SURGICAL
PROCEDURES. ANS: A
THE MOST COMMON REASON FOR MEASURING LUNG VOLUMES IS TO IDENTIFY
RESTRICTIVE LUNG DISEASE. DIF: 1 REF: P. 35 OBJ: EL-2 MSC: NBRC: NONE
4. DLCO MEASUREMENTS MAY BE INDICATED TO EVALUATE PULMONARY INVOLVEMENT IN
WHICH OF THE FOLLOWING SYSTEMIC DISEASES?
a. ASTHMA
b. SARCOIDOSIS
c. EXERTIONAL HYPOXEMIA
d. GUILLAIN-BARRÉ
SYNDROME ANS: B
SARCOIDOSIS IS THE ONLY SYSTEMIC DISEASE LISTED THAT AFFECTS GAS
EXCHANGE. DIF: 1 REF: P. 9 | P. 19 | P. 21 | P. 35 OBJ: EL-2 MSC: NBRC:
NONE
5. BLOOD GAS ANALYSIS IS USED WITH PATIENTS WITH COPD TO DO
WHICH OF THE FOLLOWING?
a. MONITOR AIRWAY RESPONSIVENESS.
b. DETERMINE LEVEL OF CARDIOPULMONARY FITNESS.
c. DETECT PULMONARY HYPERTENSION.
d. ASSESS NEED FOR
SUPPLEMENTARY O2. ANS: D
BLOOD GAS ANALYSIS IS MOST COMMONLY USED TO DETERMINE THE NEED FOR
SUPPLEMENTAL OXYGEN AND TO MANAGE PATIENTS WHO REQUIRE VENTILATORY
SUPPORT.
DIF: 2 REF: P. 15 OBJ: EL-1
MSC: NBRC: CPFT 2A-2
6. WHICH OF THE FOLLOWING CAUSE EMPHYSEMA?
MOTTRAM LATEST VERSION GRADED A+
,CONTENTS
CHAPTER 1: INDICATIONS FOR PULMONARY FUNCTION TESTING ..................... 3
CHAPTER 2: SPIROMETRY ............................................................................... 15
CHAPTER 3: DIFFUSING CAPACITY TESTS ........................................................ 37
CHAPTER 4: LUNG VOLUMES, AIRWAY RESISTANCE, AND GAS DISTRIBUTION
TESTS ............................................................................................................. 54
CHAPTER 5: VENTILATION AND VENTILATORY CONTROL TESTS ...................... 70
CHAPTER 6: BLOOD GASES AND RELATED ....................................................... 85
TESTS ............................................................................................................. 85
CHAPTER 7: CARDIOPULMONARY EXERCISE TESTING ................................... 104
CHAPTER 8: PEDIATRIC PULMONARY FUNCTION TESTS ................................ 125
CHAPTER 9: BRONCHOPROVOCATION TESTING ............................................ 139
CHAPTER 10: SPECIALIZED TEST REGIMENS .................................................. 148
CHAPTER 11: PULMONARY FUNCTION TEST EQUIPMENT ............................. 160
CHAPTER 12: QUALITY SYSTEMS IN THE PULMONARY FUNCTION LABORATORY180
CHAPTER 13: REFERENCE VALUES AND INTERPRETATION STRATEGIES ......... 210
,CHAPTER 1: INDICATIONS FOR PULMONARY FUNCTION TESTING
MULTIPLE CHOICE
1. WHO FIRST POPULARIZED SPIROMETRY FOR THE EVALUATION OF PULMONARY FUNCTION?
a. AUGUST AND MARIE KROGH
b. ALVAN BARACH
c. JOHN SEVERINGHAUS
d. JOHN
HUTCHINSON ANS:
D
HUTCHINSON POPULARIZED THE CONCEPT OF USING VC TO ASSESS LUNG FUNCTION, AND
THE NAMES HE GAVE TO SEVERAL OTHER LUNG COMPARTMENTS ARE STILL USED TODAY.
DIF: 1 REF: P. 2 OBJ: NONE MSC: NBRC: NONE
2. WHICH OF THE FOLLOWING ARE INDICATIONS FOR PERFORMING SPIROMETRY?
1. ASSESS THE RISK OF LUNG RESECTION.
2. DETERMINE THE RESPONSE TO BRONCHODILATOR THERAPY.
3. ASSESS THE SEVERITY OF RESTRICTIVE LUNG DISEASE.
4. QUANTIFY THE EXTENT OF COPD.
A. 1 AND 4
B. 2 AND 3
C. 1 , 2, AND 4
D. 2 , 3, AND 4
ANS: C
SPIROMETRY CANNOT ASSESS SEVERITY OF RESTRICTION; FOR THAT YOU NEED TO MEASURE
LUNG VOLUMES ( SEE BOX 1-2, CHAPTER 1).
DIF: 1 REF: P. 7 OBJ: EL-2 MSC: NBRC: NONE
, 3. THE MAIN INDICATION FOR THE MEASUREMENT OF LUNG VOLUMES IS TO DO WHICH OF THE
FOLLOWING?
a. DIAGNOSE OR ASSESS THE SEVERITY OF RESTRICTION.
b. EVALUATE THE SEVERITY OF PULMONARY HYPERTENSION.
c. DETERMINE THE LEVEL OF CARDIOPULMONARY FITNESS.
d. ASSESS THE RISK OF ABDOMINAL SURGICAL
PROCEDURES. ANS: A
THE MOST COMMON REASON FOR MEASURING LUNG VOLUMES IS TO IDENTIFY
RESTRICTIVE LUNG DISEASE. DIF: 1 REF: P. 35 OBJ: EL-2 MSC: NBRC: NONE
4. DLCO MEASUREMENTS MAY BE INDICATED TO EVALUATE PULMONARY INVOLVEMENT IN
WHICH OF THE FOLLOWING SYSTEMIC DISEASES?
a. ASTHMA
b. SARCOIDOSIS
c. EXERTIONAL HYPOXEMIA
d. GUILLAIN-BARRÉ
SYNDROME ANS: B
SARCOIDOSIS IS THE ONLY SYSTEMIC DISEASE LISTED THAT AFFECTS GAS
EXCHANGE. DIF: 1 REF: P. 9 | P. 19 | P. 21 | P. 35 OBJ: EL-2 MSC: NBRC:
NONE
5. BLOOD GAS ANALYSIS IS USED WITH PATIENTS WITH COPD TO DO
WHICH OF THE FOLLOWING?
a. MONITOR AIRWAY RESPONSIVENESS.
b. DETERMINE LEVEL OF CARDIOPULMONARY FITNESS.
c. DETECT PULMONARY HYPERTENSION.
d. ASSESS NEED FOR
SUPPLEMENTARY O2. ANS: D
BLOOD GAS ANALYSIS IS MOST COMMONLY USED TO DETERMINE THE NEED FOR
SUPPLEMENTAL OXYGEN AND TO MANAGE PATIENTS WHO REQUIRE VENTILATORY
SUPPORT.
DIF: 2 REF: P. 15 OBJ: EL-1
MSC: NBRC: CPFT 2A-2
6. WHICH OF THE FOLLOWING CAUSE EMPHYSEMA?